Omission of lymphadenectomy is possible for low-risk corpus cancer.
Identifieur interne : 003829 ( PubMed/Corpus ); précédent : 003828; suivant : 003830Omission of lymphadenectomy is possible for low-risk corpus cancer.
Auteurs : T. Hidaka ; K. Kato ; R. Yonezawa ; T. Shima ; A. Nakashima ; K. Nagira ; T. Nakamura ; S. SaitoSource :
- European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [ 0748-7983 ] ; 2007.
English descriptors
- KwdEn :
- Adult, Aged, Carcinoma, Endometrioid (mortality), Carcinoma, Endometrioid (pathology), Carcinoma, Endometrioid (surgery), Endometrial Neoplasms (mortality), Endometrial Neoplasms (pathology), Endometrial Neoplasms (surgery), Female, Follow-Up Studies, Humans, Lymph Node Excision (contraindications), Lymphatic Metastasis, Middle Aged, Neoplasm Staging, Prognosis, Retrospective Studies, Survival Rate.
- MESH :
- contraindications : Lymph Node Excision.
- mortality : Carcinoma, Endometrioid, Endometrial Neoplasms.
- pathology : Carcinoma, Endometrioid, Endometrial Neoplasms.
- surgery : Carcinoma, Endometrioid, Endometrial Neoplasms.
- Adult, Aged, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Middle Aged, Neoplasm Staging, Prognosis, Retrospective Studies, Survival Rate.
Abstract
The objective of this study is to ascertain whether omission of lymphadenectomy is possible when endometrial cancer is considered low-risk based on intraoperative pathologic indicators.
DOI: 10.1016/j.ejso.2006.09.035
PubMed: 17095180
Links to Exploration step
pubmed:17095180Le document en format XML
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<author><name sortKey="Hidaka, T" sort="Hidaka, T" uniqKey="Hidaka T" first="T" last="Hidaka">T. Hidaka</name>
<affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toyama, 2630, Sugitani, Toyama-shi, Toyama 930-0194, Japan. hidaka@med.u-toyama.ac.jp</nlm:affiliation>
</affiliation>
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<author><name sortKey="Kato, K" sort="Kato, K" uniqKey="Kato K" first="K" last="Kato">K. Kato</name>
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<author><name sortKey="Yonezawa, R" sort="Yonezawa, R" uniqKey="Yonezawa R" first="R" last="Yonezawa">R. Yonezawa</name>
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<author><name sortKey="Shima, T" sort="Shima, T" uniqKey="Shima T" first="T" last="Shima">T. Shima</name>
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<author><name sortKey="Nakashima, A" sort="Nakashima, A" uniqKey="Nakashima A" first="A" last="Nakashima">A. Nakashima</name>
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<author><name sortKey="Nagira, K" sort="Nagira, K" uniqKey="Nagira K" first="K" last="Nagira">K. Nagira</name>
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<author><name sortKey="Nakamura, T" sort="Nakamura, T" uniqKey="Nakamura T" first="T" last="Nakamura">T. Nakamura</name>
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<author><name sortKey="Saito, S" sort="Saito, S" uniqKey="Saito S" first="S" last="Saito">S. Saito</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Omission of lymphadenectomy is possible for low-risk corpus cancer.</title>
<author><name sortKey="Hidaka, T" sort="Hidaka, T" uniqKey="Hidaka T" first="T" last="Hidaka">T. Hidaka</name>
<affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toyama, 2630, Sugitani, Toyama-shi, Toyama 930-0194, Japan. hidaka@med.u-toyama.ac.jp</nlm:affiliation>
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<author><name sortKey="Kato, K" sort="Kato, K" uniqKey="Kato K" first="K" last="Kato">K. Kato</name>
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<author><name sortKey="Yonezawa, R" sort="Yonezawa, R" uniqKey="Yonezawa R" first="R" last="Yonezawa">R. Yonezawa</name>
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<author><name sortKey="Shima, T" sort="Shima, T" uniqKey="Shima T" first="T" last="Shima">T. Shima</name>
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<author><name sortKey="Nakashima, A" sort="Nakashima, A" uniqKey="Nakashima A" first="A" last="Nakashima">A. Nakashima</name>
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<author><name sortKey="Nagira, K" sort="Nagira, K" uniqKey="Nagira K" first="K" last="Nagira">K. Nagira</name>
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<author><name sortKey="Nakamura, T" sort="Nakamura, T" uniqKey="Nakamura T" first="T" last="Nakamura">T. Nakamura</name>
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<series><title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title>
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<term>Aged</term>
<term>Carcinoma, Endometrioid (mortality)</term>
<term>Carcinoma, Endometrioid (pathology)</term>
<term>Carcinoma, Endometrioid (surgery)</term>
<term>Endometrial Neoplasms (mortality)</term>
<term>Endometrial Neoplasms (pathology)</term>
<term>Endometrial Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Node Excision (contraindications)</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Survival Rate</term>
</keywords>
<keywords scheme="MESH" qualifier="contraindications" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Carcinoma, Endometrioid</term>
<term>Endometrial Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma, Endometrioid</term>
<term>Endometrial Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Endometrioid</term>
<term>Endometrial Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Survival Rate</term>
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<front><div type="abstract" xml:lang="en">The objective of this study is to ascertain whether omission of lymphadenectomy is possible when endometrial cancer is considered low-risk based on intraoperative pathologic indicators.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17095180</PMID>
<DateCreated><Year>2007</Year>
<Month>01</Month>
<Day>29</Day>
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<DateCompleted><Year>2007</Year>
<Month>03</Month>
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<DateRevised><Year>2007</Year>
<Month>07</Month>
<Day>02</Day>
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<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
<ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation>
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<ArticleTitle>Omission of lymphadenectomy is possible for low-risk corpus cancer.</ArticleTitle>
<Pagination><MedlinePgn>86-90</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The objective of this study is to ascertain whether omission of lymphadenectomy is possible when endometrial cancer is considered low-risk based on intraoperative pathologic indicators.</AbstractText>
<AbstractText Label="PATIENT AND METHODS" NlmCategory="METHODS">A total of 128 patients were deemed to be low-risk based on intraoperative evaluation, including frozen-section determination of grade and myometrial invasion. We divided these 128 patients into 2 groups, the total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) with lymphadenectomy (LA group, n=68) and the TAH-BSO without lymphadenectomy (non-LA group, n=60) group. The only adjuvant treatment used was chemotherapy, and the decision to use chemotherapy was based on stage, grade, or lymphovascular space involvement. A retrospective review of the medical records was performed, and disease-free survival (DFS), overall survival (OS), operative time, estimated blood loss during operation, percentage of transfusion requirement, incidence of post-operative leg lymphedema and post-operative deep vein thrombosis were evaluated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The 5-year DFS and OS rates were 95.6% and 98.5% in the LA group, and 98.3% and 98.3% in the non-LA group, respectively, and were not significantly different. In the LA group, pelvic lymph node metastasis was observed in only 1 case. In the LA group, blood loss during operation, percentage of transfusion requirement and the incidence of post-operative leg lymphedema were significantly higher than those in the non-LA group.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Lymphadenectomy did not provide a significant survival advantage in the patients with low-risk corpus cancer. Additionally, some peri- and post-operative morbidities and complications were increased by the addition of lymphadenectomy. The present findings suggest that lymphadenectomy should be limited for low-risk corpus cancer.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hidaka</LastName>
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<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toyama, 2630, Sugitani, Toyama-shi, Toyama 930-0194, Japan. hidaka@med.u-toyama.ac.jp</Affiliation>
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<Author ValidYN="Y"><LastName>Kato</LastName>
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<Author ValidYN="Y"><LastName>Yonezawa</LastName>
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<Author ValidYN="Y"><LastName>Shima</LastName>
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<Author ValidYN="Y"><LastName>Nakashima</LastName>
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<Author ValidYN="Y"><LastName>Nagira</LastName>
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<Language>eng</Language>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000744" MajorTopicYN="Y">contraindications</QualifierName>
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